Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Clyde E Ross

Individual provider Community Health Worker · NPI 1992680276

Clyde E Ross is a Community Health Worker in Pawtucket, Rhode Island. Practices as a sole proprietor. Licensed in Rhode Island.

Licensed in
RI
In the registry since
2025
Specialties on file
2
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Practice location Address checks out

225 Main St
Pawtucket, RI 02860-0000
Phone: (401) 475-0636
Fax: (401) 205-1026
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X · Licence 2218047 (RI)
Community Health Worker Taxonomy 172V00000X

Record details

NPI number1992680276
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 7, 2025
Last updated in NPPESAugust 7, 2025
Certification dateAugust 4, 2025
Mailing address225 Main Street, Pawtucket, RI 02860-0000

Other providers in Pawtucket